much like we want universal access to education. we've got to work hard every day to make certain that it's good quality and that it's affordable. i think it is fair for us to compare ourselves to other nations. we are talking primarily about the western industrialized nations where their delivery systems are much less expensive to deliver care and whereby the measures of things like infant mortality, obesity, other factors, they have better outcomes than we do. whatever it is you are delivering as a service, education or health care, we should always try to examine are we doing it the right way and can we do it better. even if we say we don't want universal health care, if somebody gets sick, most of the time they end up in the hospital and they will get care. the cost of that care has simply shifted onto everyone else who is paying insurance. if you have health care at work, $1,100 of your premium goes to paying for uncompensated care, for people that short at the emergency room without coverage. host: on twitter -- guest: she's r